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Asthiningsih, Ni Wayan Wiwin
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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MEDICATION ADHERENCE AND MENTAL HEALTH AMONG PATIENTS WITH SCHIZOPHRENIA AT LOA BAKUNG PRIMARY HEALTH CENTER, SAMARINDA Najdah; Masnina, Rusni; Asthiningsih, Ni Wayan Wiwin; Atthoba, La Debi
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.116

Abstract

Background: Schizophrenia is a chronic severe mental disorder associated with impaired functioning and high relapse rates. Medication nonadherence remains a major challenge in maintaining mental health stability, particularly in primary health care settings where resources are limited. Objectives: To examine the association between medication adherence and mental health status among outpatients with schizophrenia at Puskesmas Loa Bakung Samarinda. Methods: A cross-sectional analytic study was conducted from October to November 2024 involving 40 outpatients with schizophrenia selected through total sampling. Medication adherence was assessed using the Morisky Medication Adherence Scale (MMAS-8), while mental health status was measured using the General Health Questionnaire-12 (GHQ-12). Data were analyzed using descriptive statistics and the Chi-square test with a significance level of 0.05. Results: Most participants had low medication adherence (57.5%) and experienced mild psychological distress (47.5%). Bivariate analysis showed a statistically significant association between medication adherence and mental health status (p < 0.001), with patients who had moderate to high adherence showing a lower likelihood of psychological distress (OR = 0.032; 95% CI: 0.003–0.295). Conclusion: Medication adherence was significantly associated with mental health status among outpatients with schizophrenia in a primary health care setting. These findings indicate an important relationship between adherence and psychological condition, although causal conclusions cannot be drawn due to the cross-sectional design.
FAMILY SUPPORT AND MEDICATION ADHERENCE AMONG PATIENTS WITH SCHIZOPHRENIA IN PRIMARY HEALTHCARE Nurkhalisah; Masnina, Rusni; Asthiningsih, Ni Wayan Wiwin
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.118

Abstract

Background: Schizophrenia is a chronic mental disorder requiring long-term pharmacological treatment. Medication non-adherence remains a major challenge and contributes to relapse and rehospitalization. In primary healthcare settings, family support is considered a key psychosocial factor influencing medication adherence. Objectives: This study aimed to examine the association between family support and medication adherence among outpatients with schizophrenia in a primary healthcare setting. Methods: An analytical cross-sectional study was conducted at Puskesmas Loa Bakung Samarinda, Indonesia. A total of 40 schizophrenia outpatients were recruited using total sampling. Family support was measured using the Duke-UNC Functional Social Support Questionnaire, while medication adherence was assessed with the Morisky Medication Adherence Scale-8 (MMAS-8). Data were analyzed using univariate analysis and Chi-square or Fisher’s exact test, with odds ratio (OR) estimation at a significance level of p < 0.05. Results: Of the respondents, 52.5% reported sufficient to high family support, while 47.5% reported low support. Medication adherence was categorized as low in 57.5% of patients, moderate in 17.5%, and high in 25.0%. A significant association was found between family support and medication adherence (p = 0.022). Patients with low family support had a sixfold higher risk of non-adherence compared to those with sufficient or high family support (OR = 6.094). Conclusion: Family support is significantly associated with medication adherence among patients with schizophrenia in primary healthcare. Strengthening family involvement in community-based mental health services is essential to improve adherence and reduce the risk of relapse.
Co-Authors Al-Khasawneh, Mahmoud Ahmad Andi Lis Arming Gandini Asrianti, Ulfa Dwi Atthoba, La Debi Chairunnisa, Aldilla Asri Chatarina Umbul Wahyuni Dwi Rahmah Fitrniani Enok Sureskiarti Fitria, A’isyah Riski Hasanah, Rahmatin Latipah, Asslia Johar Liwu, Desilia Sidong Lusmiati, Lusmiati Malwani, Selma Aqila Masnina, Rusni Milkhatun, Milkhatun Najdah Nurjannah, Misbah Nurkhalisah Nursela, Nursela Pratiwi, Rani Eka Putri, Nahda Tiramika Rizal, Alfi Ari Fakhrur Rusmawati Rusmawati, Rusmawati Saputra, Yudhi Fajar Sitti Rahmah Sutriani, Merinda Sutrisno, Sutrisno Tirta, Insani Tiara Umi Kalsum Utami, Fathia Wianida Wahyuni, Emmy Putri Zulaikha, Fatma